Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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15 results
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... gallop β€’ Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #diagnosis #management ... #cardiology #summary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- EKG & echocardiography ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Checklist #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: β€’ Cardiogenic ... Valve Disease, Myocarditis ... β€’ Obstructive: Pulmonary ... Pneumothorax, Cardiac ... #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... arrest trolley ... thoracotomy is a better treatment ... #Checklist #Diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... anaphylaxis treatment ... alternate vasopressor (e.g ... #Checklist #Diagnosis ... #Management #Workup
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... resuscitation β€’ Cardiogenic ... #criticalcare #treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology